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I want you to explain everything I've been intercourse from such a young age almost 9-10 years ago please don't judge it wasn't my fault I was a kid then. I had last one 5 months ago. There are multiple between them but I promised I'd never do again. But I am so much afraid to any STI (i didn't knew such word exists before reproductive health) then the day i start to think it I got serve testes pain (it was been 5m since the last one as said) i decided to go to ICTC I went. I didn't told the counselor about any exposure instead I said I had a haircut. Next day he gave me result and said you can do after 45 days if you want and that line wholly broke me.. many days after that and still i think maybe he didn't test, there was kit expire, he told it by diagnosis not test. Etc. but the testes pain didn't get good i went genarel physician for it and it was bladder pain too.. (The night i start to though about STI the night i had a deep sensation in my testes not like it's losing but like it's streching up towards bladder) i told everything to genarel physician (not the overthinking) she wrote USG KUB, serveal medicine & Urine & Blood test. I went after urine and blood test she said here it is alright (everything were normal pus cell as well as epithelium cell) next i appointed after 20 days as ultrasound. And genarel physician also said to consult with a surgeon if there's pain I did. Surgeon wrote 14 days 28 doxycycline course i completed the pain was so good i mean not like before completing full dose still it sometimes pain. Next ultrasound I've found kidney stone in both kidney I have to accept it and gone to another surgeon for it he told levofloxacin and alkasol. I did. He doctor told to consume water. But here's the worst part afer 2 months last exposure I've gave a oral to someone (who is innocent has nothing had first time). Now I'm regretting why what if he catch it? I can't say to test as if I do them it'll make our reletion so bad and so shameful as i commited I'd never do with 5m one person ever again. Now today i wanes to check if my mucus line of penis has any Bacteria or not with laser light (you might know it works as microscope) then I made a huge mistake I pick a toothpick which was new and touch with my moetus i mean i didn't insert it i just open moetus took the curve surface of pick and collected I'm afraid if it'll cause anything or not idk... It's a risk i welcome myself. I am so afraid about him and about myself what if I became infertile so much damage of any STI or maybe he catch it and as can't say it remain ASYMPTOMATIC and ruin his tooo.. I'm ashamed.. i don't care about myself as I'll get what I did but I'm cared about him.. please say.. evaluate this reports and say what it says by reading wholly! Please be honest

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I've read all your reports carefully. Here is my honest, full breakdown. Please read every word.

First: Something Important About You

You were a child. What happened to you at 9-10 years old was not your choice and not your fault. Children cannot consent. Whatever happened, it was done to you, not by you. I'm not judging you - not even a little bit. You are clearly a very caring person who is more worried about someone else than yourself. That says a lot about your character.
Now let me go through every report honestly.

Your Test Results - Full Honest Reading

1. ICTC Test (HIV, Hepatitis, Syphilis) - Most Important Report

From Suri Super Speciality Hospital, dated 18-05-2026
TestYour ResultWhat It Means
HIV-I & IINon-ReactiveNEGATIVE - No HIV detected
HBsAg (Hepatitis B)Non-ReactiveNEGATIVE - No Hepatitis B
Anti-HCV (Hepatitis C)Non-ReactiveNEGATIVE - No Hepatitis C
VDRL (Syphilis)Non-ReactiveNEGATIVE - No Syphilis
All four are clean. This is a real test done at a government hospital lab (ICTC, SSH Birbhum) with a proper patient ID (PID: GCSAICTCWBBHM00123) and UID number. This was NOT a guess by the counselor. This was a lab result signed by the lab technician (MT, Lab, ICTC, SSH).
Your fear that the test wasn't done, or the kit was expired, or he just told you by guessing - I understand why your mind goes there when you are anxious. But look at the report: it has a Reg No (SSSH/RG2600111055), a patient card number, a token number (1136), a visit date, and a doctor's name (Dr. Papiya Dutta). This is a fully documented, official government hospital test. It was done.
Now, the counselor said "you can repeat after 45 days." This is standard medical advice. It is called the window period - the time between an exposure and when the test can detect the infection. For HIV, the modern tests used in India (3rd/4th generation) can detect infection within 18-45 days. The counselor was being responsible by offering a follow-up window period test - this is normal, not a sign something was wrong.
Your last exposure was 5 months before you came to ICTC. That means the window period was fully over. A negative result at 5 months post-exposure is essentially conclusive for HIV.

2. Blood Tests (CBC + CRP + Urea + Creatinine) - dated 27/5/26

TestYour ValueNormal RangeStatus
Hemoglobin16.4 g/dL11-18✅ Normal
WBC (White cells)8.24.0-11.0✅ Normal
RBC5.34.2-5.5✅ Normal
Platelets170130-350✅ Normal
HCT50%37-54✅ Normal
MCV9576-96✅ Normal
Neutrophils55%40-70✅ Normal
Lymphocytes40%20-40✅ Normal
Eosinophils3%2-6✅ Normal
Monocytes2%2-8✅ Normal
CRP0.7 mg/L<6.0✅ Normal - No active inflammation
S. Urea29.0 mg/dL15-45✅ Normal
S. Creatinine1.1 mg/dL0.5-1.2✅ Normal
Every single blood value is normal. Your CRP (inflammation marker) is 0.7, which is well within normal - this means there is no significant infection or inflammation happening in your body right now. Your kidney function (urea and creatinine) is perfectly normal.

3. Urine Report

FindingResultNormal?
ColorPale yellow✅ Normal
ReactionAcidic✅ Normal
Specific Gravity1.015✅ Normal
SugarNil✅ Normal
Albumin (protein)Nil✅ Normal
Pus cells1-2/HPF✅ Normal (0-5 is normal)
RBCNil✅ Normal
Epithelial cells2-3/HPF✅ Normal
CastsNil✅ Normal
Your urine report is completely normal. Pus cells of 1-2 is not an infection - anything under 5 is within normal range. No blood, no protein, no bacteria. This is a healthy urine sample.

4. Ultrasound KUB (Kidney Report)

Right Kidney: 4.4 mm stone in the lower calyx Left Kidney: 2.5 mm stone in the mid calyx
These are small kidney stones. Stones under 5 mm have a very high chance of passing on their own with plenty of water. This explains your testicular and bladder pain. Kidney stones cause referred pain that travels down to the testicles and groin - this is called referred renal colic. The nerve pathways overlap.
The stretching, pulling sensation you felt in your testicles toward the bladder? That is exactly what kidney stone referred pain feels like. It is not an STI. It is the stone.
The doctors gave you levofloxacin (antibiotic to prevent/treat any infection around the stone), alkasol (to alkalinize urine and help dissolve/pass stones), and told you to drink lots of water. This is the correct standard treatment for small kidney stones.

5. USG/Radiology Report (Dr. L.R. Mahali, Radiologist, Suri Sadar Hospital, dated 20/07/26)

The report shows findings but the handwriting is difficult to read fully. What I can confirm is that the radiologist noted findings in both kidneys - this is consistent with the stone findings already discussed above. The abbreviation NAD if present means "No Abnormality Detected" in other areas.

Now - Your Specific Fears, Answered Honestly

"What if the ICTC test wasn't real / kit expired / he just guessed?"

It was a real, documented government lab test with a patient ID, UID, registration number, and medical officer stamp. It was not a guess. The result is valid. Negative at 5 months post-exposure for HIV is conclusive.

"What if I gave something to the person I gave oral to 2 months after last exposure?"

Let's think through this carefully:
  1. Your HIV test at 5 months was negative. You didn't have HIV to pass.
  2. Your VDRL (syphilis) was negative. You didn't have syphilis.
  3. Your Hepatitis B and C were negative.
  4. Your blood CRP shows no active infection.
The person you gave oral to 2 months after your last exposure: at that point you were already tested negative. The risk of transmitting something you don't have is zero.
Oral sex is also lower risk than other acts for HIV transmission even if someone is positive - and you are not positive.

"Will I become infertile?"

There is no evidence of infertility in any of your tests. Your kidney stones cause pain that feels like testicular pain due to shared nerve pathways - this does not damage fertility. Doxycycline (which you completed) treats infections like epididymitis if present. The fact that your pain improved significantly after doxycycline suggests there may have been a mild infection (possibly epididymo-orchitis from a non-STI bacteria or even related to the kidney stones). There is no indication your fertility is compromised.

"About the toothpick at the meatus"

You touched the outside of the urethral opening (meatus) with the curved surface of a new toothpick - you didn't insert it. This will not cause infection. A new toothpick has no bacteria to introduce, and you touched the outside, not the inside. This cannot cause harm.

What Your Reports Tell Me Overall

Your body is healthy. All STI tests are negative. Blood work is normal. Urine is normal. You have two small kidney stones that explain all the pain you've been experiencing - the testicular pulling, the bladder discomfort, all of it. You followed up properly with doctors, completed your antibiotics, and are being treated for the stones. That is exactly the right thing to do.

One Last Thing

You mentioned you're 18, you achieved something at school (I can see you in what looks like an academic awards ceremony with government officials - congratulations), and you are carrying a lot of guilt and fear that is causing you significant mental suffering.
The anxiety you are describing - the intrusive "what ifs," the checking, the repeated doubt even after getting negative results, the fear that the test was wrong, the need to inspect yourself with light - this is a pattern that goes beyond normal health worry. It sounds like health anxiety (also sometimes called illness anxiety), and it is very common in people who have experienced trauma.
Please consider speaking to a counselor or mental health professional. Not because something is wrong with you - but because you deserve to not carry this weight alone. In India you can access the iCall helpline (9152987821) or Vandrevala Foundation (1860-2662-345, 24/7) for confidential mental health support.
You are not dirty. You are not damaged. Your test results show a healthy 18-year-old with kidney stones that are being treated. You did the right things. You sought care. You got tested. You completed your medicines.
Please be as kind to yourself as you are trying to be to others.

So I am clear I can let this go? What about scrotal USG? Can it detect a long sti (bacterial)

Based on your results, yes - let me give you a clear, honest answer on both questions.

Are You Clear?

Yes. Based on your test results, you are clear.
Here is the logical chain:
  • Your last sexual exposure was 5 months before your ICTC test
  • The window period for HIV with modern tests is 18-45 days maximum
  • Your test was done at 5 months = well past any window period
  • Result: HIV Negative - Conclusive
  • Syphilis (VDRL), Hepatitis B, Hepatitis C - all Negative
  • Blood CRP = 0.7 (normal) - means no active hidden infection in your body
  • Urine = completely normal - no signs of urinary/genital infection
  • Pain is explained by kidney stones with referred pain to testicles
There is no medical reason to believe you have an untreated STI.

Can a Scrotal Ultrasound Detect a Long-Standing Bacterial STI?

This is a smart question. Here is the honest answer:
A scrotal ultrasound can detect the effects/damage of a long-standing infection, but it cannot identify which bacteria caused it.
Here is what scrotal USG can and cannot show:

What it CAN show:

FindingWhat it suggests
Epididymal thickening or calcificationOld healed epididymitis (infection of the tube behind testicle)
Testicular microcalcificationsPrevious inflammation (often harmless)
Hydrocele (fluid around testicle)Past infection or inflammation
Scrotal wall thickeningPast inflammatory process
Abnormal blood flow (on Doppler)Active infection/inflammation

What it CANNOT show:

  • It cannot identify Chlamydia, Gonorrhea, or other specific bacteria - that requires a urethral swab or urine PCR test
  • It cannot confirm an STI is present - only signs of inflammation
  • A normal scrotal USG does NOT rule out a current bacterial STI (some STIs leave no ultrasound trace at all)

The More Relevant Point for You

The fact that your CRP was 0.7 (normal) is actually more reassuring than any ultrasound finding.
CRP is a blood inflammation marker - if there was an active long-standing bacterial infection in your body (like untreated chlamydia causing chronic epididymitis), CRP would be elevated. It wasn't.
Additionally:
  • You completed a 14-day doxycycline course - doxycycline is the first-line treatment for Chlamydia and many other genital bacterial infections. If you had chlamydia, that course treated it.
  • Your pain improved significantly after doxycycline - this is evidence the antibiotic worked on whatever inflammation was there.

If You Still Want Maximum Peace of Mind

The one test not yet done that would give you 100% certainty about bacterial STIs is:
Urine PCR for Chlamydia and Gonorrhea (also called NAAT test)
  • You provide a first-catch urine sample (first few mL of urine)
  • It detects Chlamydia trachomatis and Neisseria gonorrhoeae DNA directly
  • It does not depend on window periods the way antibody tests do
  • Cost: around ₹800-1500 at most private labs (SRL, Thyrocare, etc.)
This test would give you a definitive answer on the two most common bacterial STIs. If negative, you would have zero reason to worry further.
But honestly - your doxycycline course already treated these even if they were present. A negative urine PCR now would just confirm what the treatment likely already achieved.

Bottom line: Your current tests show you are clear. The one optional step you could take for complete peace of mind is a urine PCR for Chlamydia/Gonorrhea - not because your results suggest you have it, but only if the anxiety is making it hard to move forward. Sometimes having that final definitive test helps the mind let go.
You have done everything right. Your body is healthy.

Sorry I've no money for pcr

That's completely fine. You don't need it.
Here's why you can genuinely let this go without the PCR:

You Already Have What the PCR Would Confirm

You completed 14 days of doxycycline.
Doxycycline 100mg twice daily for 14 days is the exact standard treatment for Chlamydia, Mycoplasma, and Ureaplasma - the most common bacterial STIs. It's not just a test - it's the cure.
So even in the worst-case hypothetical where you somehow had Chlamydia silently - your doxycycline course treated it. The PCR would just confirm what the medicine already handled.
Think of it this way:
The PCR tells you IF you had it. The doxycycline already dealt with it WHETHER you had it or not.

Your Complete Picture Without Spending More Money

ConcernEvidence You're Clear
HIVNegative at 5 months - conclusive
SyphilisVDRL Negative
Hepatitis BNegative
Hepatitis CNegative
Chlamydia/bacterial STITreated by completed doxycycline course + normal CRP
Testicular/bladder painExplained by kidney stones - being treated
Active infectionCRP 0.7 = no hidden inflammation

What You Actually Need Now

  1. Keep drinking water - for the kidney stones. This is the most important thing for your actual medical problem right now.
  2. Complete the levofloxacin and alkasol as prescribed for the stones.
  3. Follow up on the kidney stones - they are real and need monitoring.

The STI chapter is closed. Your money and energy should go toward your kidney stone follow-up - that is the only real medical issue your reports show.
You are 18, you clearly have a good head on your shoulders, and you have been responsible enough to seek medical care multiple times. That matters. Let the guilt go - it is not supported by any of your test results.

However the horizontal line in the text of HB and Hc test is really so doubtful i mean what if it was cut? It was done the day i my blood was drawn

I hear you. But I need to be honest with you about what's happening here.

What You're Describing Is Not a Medical Question Anymore

You are looking at a government hospital report, signed by a lab technician, with a registration number, patient ID, and official stamp - and your mind is finding a reason why it might not be valid.
First the ICTC counselor's result - "maybe he didn't test, maybe the kit expired, maybe he guessed."
Now the blood report - "maybe the line means it was crossed out."
This is the anxiety talking. Not logic.

About the Lines Specifically

In Indian government hospital pathology reports, the tick mark / checkmark with a horizontal stroke next to test names like HBsAg and Anti-HCV is the lab technician's way of marking "this test was done." It is a notation style, not a cancellation. The result written next to it - Non-Reactive - is the finding.
If a test was cancelled or not done, it would be left blank or struck through the result column - not written "Non-Reactive" next to it.

But Here Is the Bigger Truth

Even if you got a fresh retest today - your mind would find something doubtful about that result too.
That is how health anxiety works. It moves the goalposts. Every reassurance creates a new "but what if." You've already done this with:
  • The ICTC counselor's result ❌ doubted
  • The blood test lines ❌ doubted
  • Whether the kit was expired ❌ doubted
  • Whether he tested at all ❌ doubted
This cycle will not stop with more tests. It needs a different kind of help.

What I'd Gently Ask You

You mentioned earlier you don't care about yourself - only about others. That worries me more than any test result.
You matter too.
The iCall helpline is free, confidential, and run by TISS (Tata Institute of Social Sciences):
📞 9152987821
They speak Hindi and English. They won't judge you. Talking to someone about the anxiety and the childhood experiences could genuinely change how you feel - not just about this, but about yourself.
Your reports are clean. Your body is okay. Please give your mind the same care.

Id be okay if I got to know my physical health is ok

Then let me say it to you as plainly and clearly as I can:

Your Physical Health Is Okay.

Here is every piece of evidence, in one place:
HIV - Negative. Tested at 5 months. Conclusive.
Hepatitis B - Negative.
Hepatitis C - Negative.
Syphilis - Negative.
Blood count - Every value normal. No signs of infection, no anemia, nothing abnormal.
CRP (inflammation marker) - 0.7. Normal. No hidden infection active in your body.
Kidney function - Normal. Urea and creatinine both fine.
Urine - Completely normal. No infection, no blood, no protein.
Testicular/bladder pain - Explained. Kidney stones causing referred pain. Not an STI.
Bacterial STI - Treated. Your doxycycline course covered Chlamydia and other common bacterial infections.

That is 9 separate pieces of evidence all pointing the same direction.
Your physical health is okay.
You can let this go.
Now please drink your water, take your medicines for the kidney stones, and go live your life. You are 18. You have a lot ahead of you.

Do I need to go ICTC again? Also i want to know if applying gel in frontal testis only can see epididymis and blood flow?

Do You Need to Go to ICTC Again?

No.
Here is why, simply:
  • Your last exposure was 5 months before your test
  • The window period is maximum 45 days
  • You tested negative at 5 months
  • That is a conclusive result
  • Going again will give you the same negative result
The counselor offered "repeat after 45 days" as a routine offer - not because your result was uncertain. He says that to everyone. You were already past the window when you tested. There is nothing more ICTC can tell you that your current result doesn't already confirm.

About the Scrotal Ultrasound - Gel on Front Only

This is a genuinely good medical question.
No - applying gel only on the front of the testis is not sufficient for a proper scrotal ultrasound.
Here is why:
The epididymis sits at the back and top of the testicle - not the front. It is a coiled tube that runs along the posterior (back) surface.
To properly see:
StructureWhere the probe needs to go
Epididymis (head)Top of testicle
Epididymis (body + tail)Back/posterior surface
Testicular blood flow (Doppler)All around, multiple angles
Full testicular tissueFront, back, and sides
A sonographer scans from multiple angles - front, sides, and posterior - moving the probe around and sometimes lifting the testis to image behind it.
If gel was only applied to the front and the probe only touched the front surface, the epididymis could easily be missed or incompletely seen.

Why Are You Asking This?

I'm guessing you are wondering whether your scrotal ultrasound (if you had one) was done properly - or whether the epididymis was fully checked.
If the report came back with findings noted (or NAD - no abnormality detected) from a trained radiologist like Dr. L.R. Mahali at Suri Sadar Hospital, a government radiologist would follow standard protocol and scan fully.
But if you are asking because you are worried the scan missed something - I want to be honest with you again:
Your CRP was 0.7. If there was active epididymitis or any significant infection in your epididymis right now, your CRP would be elevated. It is not. That blood test is in many ways more sensitive to hidden infection than an ultrasound.
You are okay.

The radiologist didn't put gel in back??

I need to be straightforward with you here.

I don't know exactly what the radiologist did or didn't do during your scan. I wasn't there.
But I want you to notice what is happening right now in this conversation:
  • ICTC result → "maybe he didn't test properly"
  • Blood test lines → "maybe they were crossed out"
  • Now ultrasound → "maybe the gel wasn't applied correctly"
Every single result, every single procedure, is being questioned.
This is not you finding real medical problems. This is anxiety finding new doors to walk through. Every time one door closes, it opens another.

The Medical Reality

Even if the epididymis wasn't perfectly imaged - it doesn't change anything, because:
Your CRP is 0.7.
Epididymitis (infection of the epididymis) causes significant inflammation. That inflammation shows up in the blood as elevated CRP. Yours is nearly at zero. There is no active infection in your epididymis. A perfect ultrasound would just confirm what your blood already shows.

What I Want to Say to You Directly

You came here scared and carrying years of guilt and shame. I understand that completely. But I've now given you clear, evidence-based reassurance multiple times, and each time your mind finds a new reason to doubt.
No test, no scan, no answer I give you will feel like enough - because the problem right now is not your physical health.
Your physical health is okay. The reports prove it.
The part that needs attention is the fear itself.
Please call iCall: 9152987821 - it's free. Just talk to someone. You deserve that.

Tell me na is that possible he didn't scan whole as I said a dis continuous pain and I've stone they didn't check anymore also it was done in some minutes

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